EntyvioConnect Question?

Last year I paid for my Entyvio through my prescription drug plan and they sent all the paperwork direct to Entyvio Connect and just billed me for $5.

This year my insurance has the Entyvio as part of major medical instead of the drug plan, so the hospital where I get the infusions has Entyvio Connect as a secondary insurance. The hospital first bills my regular insurance and then when they get that settled they send the balance to Entyvio Connect. Again all I paid was $5. My deductible was $2500 whiich I hit with the very first infusion in January. All I paid was $5, EntyvioConnect paid the rest of the deductible so this year has been pretty much free health care for me.

Entyvio will pay whatever your co-insurance/co-pay and/or deductible is except for the $5 you will need to pay. I made sure the pharmacy and hospital had the EntyvioConnect info and they billed them directly. If you have already paid your co-pays/deductibles yourself you should contact EntyvioConnect to find out how to get reimbursed. But going forward if you give the info to whoever is providing the Entyvio they should treat it as a secondary insurance and you will only eventually get billed for $5

As others have said, Entyvio Connect reimburses you for the cost of medication only (not the cost of setting the IV, saline, or attending nurses time). Look at your EOB and see what the costs were for, and you're eligible if it meets the aforementioned criteria. Fortunately the medication is the largest cost by far. The other expenses are usually minor.

If you haven't done any claims before then contact Entyvio Connect and see what they need you to do to submit a claim for reimbursement. All these programs are a bit different, they make the rules, follow them precisely to get reimbursed quickly and with as little hassle is as possible. At minimum you will need your EOB. You can likely mail it in, or hopefully by now submit it electronically lol. They can cut you a check, or give you a refillable reimbursement debit card (if it's like RemiStart). The refillable reimbursement card is handy, if you expect to need reimbursement often. They'll add the balance electronically and that cash is available for use a lot sooner then a snail-mailed check is.